Individual provider Active NPI

Jorge Luis Castillo, PA

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1841146917
Registry record updated Apr 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TPPA1153 Issued in FL
Practice address
1801 SW 22ND St Ste 420
Miami, FL 33145-2784
Phone
(305) 603-8715
Fax
(305) 603-8666
NPI assigned
Mar 10, 2026
Last updated
Apr 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TPPA1153 FL Primary

Addresses

Primary practice location

1801 SW 22ND St Ste 420
Miami, FL 33145-2784

Mailing address

1801 SW 22ND St Ste 420
Miami, FL 33145-2784
Phone (305) 603-8715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TPPA1153FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Research Associate Inc Current Accepting new patients

Locations

1801 SW 22nd St
Ste 420
Miami, FL 33145
Phone (305) 443-2626

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775347200000",
    "number": "1841146917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SW 22ND ST STE 420",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452784",
            "telephone_number": "305-603-8715",
            "fax_number": "305-603-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SW 22ND ST STE 420",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452784",
            "telephone_number": "305-603-8715",
            "fax_number": "305-603-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "TPPA1153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.